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MDPP Core Maintenance, Months 7-9, 5% Weight Loss or More

California rates for HCPCS G9878

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9

Rates data updated July 2026.

How much does MDPP Core Maintenance, Months 7-9, 5% Weight Loss or More cost?

$63.10

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$48.98 to $89.13
FacilityA hospital or hospital-owned outpatient department$79.43$58.88 to $105

How much rates vary

Facilitymedian $79 · 10th to 90th $49 to $174Professionalmedian $60 · 10th to 90th $47 to $107
$0.1$1.0$10.0$100.0$1.0Kfacility $79professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$57.54
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$257.04
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$131.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$117.49

Where California sits

The same service costs 1.9 times more in South Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $63.10 · 38th of 51
SD $102LA $54.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.